Custom Dme
Anaplastologist • Bountiful, UT
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About Custom Dme NPI 1255570099 Summary
Custom Dme is a verified healthcare organization specializing in Anaplastologist operating in Bountiful, UT. Located at 1455 S 500 W STE D, this facility provides patient care and medical services under National Provider Identifier (NPI) 1255570099.
Administrative operations and authorized compliance are overseen by Paul Tanner (Owner).
The facility is associated with 1 linked healthcare practitioner providing clinical services.
Facility Location & Contact Primary Location
1455 S 500 W Ste D
Bountiful, UT 840108252
Authorized Official Information
Paul Tanner , CCA
Owner
8019970545
Facility Classifications & Specialties
NUCC Taxonomy Code: 229N00000X
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
NUCC Taxonomy Code: 156FX1700X
An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
Affiliated Practitioners & Clinicians
Healthcare professionals and specialists practicing at this facility or affiliated group locations
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
Operating as CUSTOM DME
Technician/Technologist
Registered at 1455 S 500 W STE D, BOUNTIFUL, UT 840108252 (Tel: 8019970545)
Anaplastologist
NPI status registered as active in NPPES database
Registered at 3474 S 100 E, BOUNTIFUL, UT 840106605 (Tel: 8019970545)
Registered at 3474 S 100 E, BOUNTIFUL, UT 840106605 (Tel: 8019970545)
Operating as CUSTOM DME, LLC
Durable Medical Equipment & Medical Supplies
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
3474 S 100 E
Bountiful, UT 840106605
Phone: 8019970545
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.